gynecologic disease that provokes an inflammatory process in the endometrium the inner layer of the uterus. There are acute and chronic endometritis. The main reason for developing endometritis is the infection in the uterus.
Acute endometritis usually develops on the 24th day after birth, abortion or various diagnostic procedures. This inflammatory process can spread very quickly from the endometrium into the muscular layer of the uterus endomyometritis, but if the disease is severe, then hit the whole wall of the uterus paymetric.
Chronic endometritis is often the result of improper treatment of acute endometritis. It usually leads to a widespread inflammation in the myometrium muscle layer of the uterus and adjacent organs. Chronic inflammation of the endometrium of the uterus can cause infertility and pregnancy loss spontaneous abortion.
In chronic endometritis the main causes of infertility are becoming
- adhesions in the uterine cavity (synechia), which prevent attachment of the fetus to the wall of the uterus
- involvement of the uterine appendages (ovaries) in the process of inflammation.
In the case of acute endometritis is usually the main cause of its occurrence be the causative agents of various infections Mycoplasma, chlamydia, virus of usual of herpes, Ureaplasma, fungi, bacteria and many other pathogens. Most commonly studies in the laboratory can detect the whole Association of microbes, which includes several different species.
Acute endometritis occurs after diagnostic and therapeutic procedures, which involve intervention in the uterus. It is the birth (postpartum endometritis), abortion, diagnostic curettage, when pathogenic microflora penetrates into the uterus as a result of mechanical injury.
Also infection is possible if pathogens are recorded from the vagina. For example, during menstruation, unprotected sexual contacts, as well as flow of lymph or blood from other organs of the body.
Cause the beginning and development of endometritis may any decrease in immunity, which is the result of severe emotional stress, vitamin deficiency, fatigue, chronic poisoning or some disease of the internal organs. Also, this negative role can play a poor hygiene.
In most cases of chronic endometritis the uterus is a result of illiterate management of acute endometritis. Often the development involved repeated intrauterine intervention because of uterine bleeding.
Symptoms of endometritis include local and General symptoms. The main clinical signs of endometritis occur on the 34th day after infection. There is a rise in body temperature is shivering. You may also experience pain in the lower part of the belly that is given in the groin area or in the sacrum. Later appear hoevenii discharge of gray.
Also in endometritis symptoms can include vaginal bleeding. The acute phase of the disease has continued for 810 days. After that, in the case of adequate and timely treatment, the inflammatory process. Somewhat less endometritis transformirovalsya in the subacute or chronic form.
In chronic endometritis the symptoms are much less pronounced than in the acute process, which makes diagnosis difficult. The temperature remains normal, back pain may be present, but to be insignificant.
Often there are disorders of the menstrual cycle, which are expressed in a rich menorragiah (menstrual krovotechenie). It is also possible acyclic uterine bleeding that is not associated with the menstrual cycle, have different levels of intensity and are irregular. If chronic, long-term, it is possible to disorder the reproductive function of spontaneous abortion and infertility.
When endometritis is necessary to consult a doctor. Diagnostics includes
- collecting complaints and history of illness of the patient
- gynecological examination
- gynecological smear microscopy
- bacteriological analysis of microflora
- hysteroscopy the uterine cavity
- ZUG endometrium
- diagnostic curettage of the uterus.
Treatment of endometritis depends on the type of disease and peculiarities of its flow. In the acute stage are assigned to systemic antibiotics. The choice of treatment also depends on the spectrum of anticipated pathogens and how they are sensitive to antimicrobial drugs. Also, the treatment should be carried out comprehensive diagnostics, which includes tests, examination specialist, etc.
Given the fact that the cause of this disease become agents of different infections, the most frequently used combined antibiotic therapy. In case of need is infusion, desensitizing or restorative therapy. If there is a large loss of blood, the treatment involves administration of drugs that enhance the ability of the uterus to contract, and means for restoring the blood.
In the process of treatment of chronic endometritis, high performance is achieved with the introduction of medicines, including antibiotics, directly into the uterine lining. Also the use of intrauterine dialysis solutions of novocaine, hyaluronidase, dimethyl sulfoxide.
Drug treatment of chronic endometritis usually involves funds that are directed to the treatment of diseases, related to him. It can be a tonic and a sedative and desensitizing preparations, vitamin preparations.
As a non-pharmacological treatment of chronic endometritis is widely used physiotherapy. It helps to improve hemodynamics in the area of small pelvis, to encourage reduced ovarian function and activity level of the receptor of the endometrium. If the treatment will be made on time, the outcome of the disease is favorable and does not affect further the ability of women to reproduce offspring, since it is the combination of endometritis and pregnancy is considered to be quite dangerous. It is therefore necessary as early as possible to consult a specialist.